DR. Thomas J. Prignano
DR. Thomas J. Prignano was paid $764K by Medicaid between Jan 2018 and Dec 2020, across 13 billing codes. Its largest line is 92015, Determination of refractive state — 24% of everything it billed.
33Billing provider infoDR. THOMAS J. PRIGNANO
EAST HARTFORD, CT 06108
EAST HARTFORD, CT 06108
33aNPI1891919338assigned 04/13/2007
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$764K
24GClaims33,769
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2020
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Connecticut
Rank by total paid#3 of 18
Median peer was paid$58K
This provider vs. median13×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,518 | $262K | |
| 2019 | 12,463 | $284K | |
| 2020 | 9,788 | $218K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 24% | 5,468 | 5,099 | $187K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 22% | 3,853 | 3,600 | $171K |
| V2020 | Frames, purchases | 13% | 3,707 | 3,457 | $103K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 13% | 3,654 | 3,410 | $100K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.9% | 3,361 | 3,124 | $68K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.1% | 1,987 | 1,821 | $55K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.9% | 896 | 834 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.5% | 637 | 552 | $19K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 341 | 315 | $7K |
| 92250 | <1% | 46 | 37 | $1K | |
| 92341 | <1% | 26 | 25 | $612.75 | |
| 1036F | 0% | 4,734 | 4,341 | $0.00 |
1 more codes
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 5,059 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSIVO, LINDA (OFFICE MANAGER)